Individual
KENNEDY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910
(301) 754-7000
Mailing address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009976
MD
Other
Enumeration date
04/23/2024
Last updated
08/06/2025
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